Individual
AMANDA JEANNE CARMODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CAADC, LCDP
Contact information
Practice address
15 FLEMING RD, CRANSTON, RI 02920-3057
(401) 462-3289
Mailing address
1052 PARK AVE, CRANSTON, RI 02910-3225
(401) 461-5056
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00986
RI
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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